Department of Population and Health, University of Cape Coast, Cape Coast, Ghana.
Department of Health Administration and Education, University of Education, Winneba, Ghana.
BMJ Health Care Inform. 2023 Aug;30(1). doi: 10.1136/bmjhci-2023-100769.
In achieving the WHO's Universal Health Coverage and the Global Developmental Agenda: Sustainable Development Goal 3 and 9, the Ministry of Health launched a nationwide deployment of the lightwave health information management system (LHIMS) in the Central Region to facilitate health service delivery. This paper assessed the efficient use of the LHIMS among health professionals in the Central Region.
A non-interventional descriptive cross-sectional study design was employed for this research. The study used stratified and simple random sampling for selecting 1126 study respondents from 10 health facilities that use the LHIMS. The respondents included prescribers, nurses, midwives and auxiliary staff. Descriptive statistics (weighted mean) was computed to determine the average weighted score for all the indicators under efficiency. Also, bivariate (χ) and multivariate (ordinal logistic regression) analyses were conducted to test the study's hypotheses.
Findings revealed that the LHIMS enhanced efficient health service delivery. From the bivariate analysis, external factors; sex, educational qualification, work experience, profession type and computer literacy were associated with the efficient use of the LHIMS. However, training offered prior to the use of the LHIMS, and the duration of training had no association. At the multivariate level, only work experience and computer literacy significantly influenced the efficient use of the LHIMS.
The implementation of LHIMS has the potential to significantly improve health service delivery. General computing skills should be offered to system users by the Ministry of Health to improve literacy in the use of computers. Active participation in the use of LHIMS by all relevant healthcare professionals should be encouraged.
为实现世界卫生组织的全民健康覆盖和全球发展议程：可持续发展目标 3 和 9，卫生部在中部地区推出了全国范围内的光波卫生信息管理系统（LHIMS）部署，以促进卫生服务的提供。本文评估了中部地区卫生专业人员对 LHIMS 的有效利用。
本研究采用非干预性描述性横断面研究设计。该研究采用分层和简单随机抽样的方法，从使用 LHIMS 的 10 个卫生机构中抽取了 1126 名研究对象。研究对象包括开处方者、护士、助产士和辅助人员。采用描述性统计（加权均值）计算所有效率指标的平均加权得分。此外，还进行了双变量（χ）和多变量（有序逻辑回归）分析，以检验研究假设。
研究结果表明，LHIMS 提高了卫生服务的效率。从双变量分析来看，外部因素（性别、教育程度、工作经验、职业类型和计算机素养）与 LHIMS 的有效利用有关。然而，使用 LHIMS 前提供的培训以及培训的持续时间与 LHIMS 的有效利用没有关联。在多变量水平上，只有工作经验和计算机素养对 LHIMS 的有效利用有显著影响。
LHIMS 的实施有可能显著改善卫生服务的提供。卫生部应向系统用户提供一般计算技能，以提高计算机使用能力。应鼓励所有相关医疗保健专业人员积极参与 LHIMS 的使用。
